| Barbourville Family Dental Inc | |
|
201 N Allison Ave Barbourville KY 40906-1336 | |
| (606) 545-7715 | |
| (606) 546-2337 |
| Full Name | Barbourville Family Dental Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 201 N Allison Ave, Barbourville, Kentucky |
| Authorized Official Name and Position | A J Smith (DENTIST) |
| Authorized Official Contact | 6065457715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Barbourville Family Dental Inc 201 N Allison Ave Barbourville KY 40906-1336 Ph: (606) 545-7715 | Barbourville Family Dental Inc 201 N Allison Ave Barbourville KY 40906-1336 Ph: (606) 545-7715 |
| NPI Number | 1003961905 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003961905 | NPI | - | NPPES |
| 60000924 | Medicaid | KY | |
| 1341350 | Other | KY | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7386 (Kentucky) | Primary |
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